Healthcare Provider Details

I. General information

NPI: 1003744186
Provider Name (Legal Business Name): VICTOR ERNESTO MONTES MARTINEZ I CP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 AVE ARTERIAL HOSTOS STE 10
SAN JUAN PR
00918-1404
US

IV. Provider business mailing address

840 CARR 877 APT 508
SAN JUAN PR
00926-8238
US

V. Phone/Fax

Practice location:
  • Phone: 787-565-0624
  • Fax:
Mailing address:
  • Phone: 787-565-0624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4436
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: